198017365-11-4-2022-33-CC-LBAK-CKUVV6-20221104164549

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198017365
Report Date: 11/04/2022
Date Signed: 11/04/2022 04:46:07 PM

Document Has Been Signed on 11/04/2022 04:46 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	CARTER-BEDOYA FAMILY CHILD CARE		FACILITY NUMBER:	198017365
ADMINISTRATOR:	CARTER-BEDOYA, CYNTHIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 906-0101
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90604
CAPACITY:	14	CENSUS: 2	DATE:	11/04/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Assistant, Felicia Medina		TIME COMPLETED:	05:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Lilli Babcock conducted a Case Management-Other visit on 11/4/22. LPA initially visited the facility to do an annual inspection. LPA was greeted at the door at 1:00 pm by assistant Gloria (Marlene) Ortega, to whom the reason for the visit (annual inspection) was explained. Gloria Medina stated Licensee, Cynthia Carter-Bedoya was not at the home. LPA observed two (2) children present at the facility upon entry into the home. A COVID risk assessment was conducted upon entry and appropriate PPE was used by LPA. Gloria Ortega gave LPA a tour of the inside of the home. Licensee, Cynthia Carter-Bedoya was not present in the home during the time LPA was at the facility, however LPA spoke with her on the phone, and she stated she was at a training. Assistant Felicia Medina arrived at the facility after her lunch break, at approximately 1:50 pm. At 2:00 pm, the 2 assistants left the home to go pick up school-age children from school. Assistant Felicia Medina stated the assistants pick up children from different schools and would be gone for approximately an hour. Both assistants left the home in different cars to pick up the children, and the 2 children in care at the home went in the car with the assistants. LPA reviewed 5 children’s files outside of the home, during the time the assistants were gone picking up children from school. The 5 children’s files were complete. The 2 assistants returned in the 2 cars at 3:45 pm and stated they were later than expected as a student had to finish a test at school. Page 1 of 2

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli Babcock	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CARTER-BEDOYA FAMILY CHILD CARE	FACILITY NUMBER: 198017365
	VISIT DATE: 11/04/2022

NARRATIVE

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Due to time constraints, LPA will return to the facility on another date to conduct the annual inspection.

LPA issued an LIC 857, Children’s Record Review, to Assistant, Felicia Medina, which documents children’s files reviewed during this inspection.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Assistant, Felicia Medina.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli Babcock	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2022

LIC809 (FAS) - (06/04)

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